Moar shims, or Moar Turnz on lathezMost lower assembly bushing installs are tooled for concentricity. But...to a nominally perfect hub length.
The overshadowing issue with parallelism is the axle layout on most forks. The layout on the new 38 solves that, and it is very noticeable.
You are correct though - there is little point in performing a ream if the whole system is out of parallel.